Centre for Research on Environment Health and Population Activities, Kathmandu, Nepal.
J Interpers Violence. 2010 Oct;25(10):1873-92. doi: 10.1177/0886260509354514. Epub 2010 Feb 5.
Sexual violence within marriage (SVWM) is a major public health and human right issue and yet remains a much neglected research area, especially in Nepal. An exploratory study using free listing, in-depth case histories and causal flow analysis was conducted among two major ethnic groups in Nepal. Descriptive data collected from free listing indicate that about half of the married women aged 15 to 24 years reported ever experiencing SVWM. Data revealed that the underlying reasons for SVWM are complex and complicated due to the multiple forms and contexts in which it occurs. For many couples, multiple factors alongside, and within, their socioeconomic and cultural contexts contribute to the risk of experiencing SVWM. Major factors escalating the risk to SVWM include gender norms, economic dependence of women, poverty, alcohol consumption of husband, lack of knowledge, social stigma, and lack of supportive familial and social environment. Raising awareness about sexual violence is required for its prevention and for managing the consequences. Further research is required to identify the determinants, the effects of SVWM on sexual and reproductive health outcomes and to help programs develop the best strategies for dealing with SVWM among young couples.
婚内性暴力（SVWM）是一个主要的公共卫生和人权问题，但在尼泊尔这个问题仍然是一个被严重忽视的研究领域。本研究采用自由列举、深入案例史和因果流分析方法，在尼泊尔的两个主要族群中进行了探索性研究。从自由列举中收集的描述性数据表明，约一半年龄在 15 至 24 岁之间的已婚妇女报告曾经历过婚内性暴力。数据显示，由于婚内性暴力发生的多种形式和背景，其根本原因是复杂和复杂的。对于许多夫妇来说，多种因素，以及他们的社会经济和文化背景，导致了经历婚内性暴力的风险。加剧婚内性暴力风险的主要因素包括性别规范、妇女的经济依赖、贫困、丈夫的饮酒、缺乏知识、社会耻辱和缺乏支持性的家庭和社会环境。提高对性暴力的认识是预防和管理其后果的必要条件。需要进一步研究以确定决定因素，以及婚内性暴力对性健康和生殖健康结果的影响，并帮助项目制定针对年轻夫妇的处理婚内性暴力的最佳策略。
